Individual
DARA ADELE D'AMICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7513 COURT ST, ELIZABETHTOWN, NY 12932
(518) 873-3670
Mailing address
7513 COURT ST, ELIZABETHTOWN, NY 12932
(518) 873-3670
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
066735-1
NY
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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